Stella Originally Prescribed Assignment Help: How to Answer This Question
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Original Question
Stella was originally prescribed Benzylpenicillin but has been changed to Ceftriaxone. Provide a rationale based on her pathology results as to why her IVAB was changed. Stella is currently prescribed Aspirin 100mg daily. Discuss the clinical indication, pharmacodynamics and nursing considerations in relation to Stella’s other medications and medical history. Is the IVAB safe to give to Stella and the correct medication to treat her infection, if so why. Patient Stella Joan Riseman DOB 05/06/1954 71-year-old female admitted under GEN MED B with suspected CAP. Presented with a 3- day history of productive cough (brownish sputum), SOB and pleuritic chest pain. GP referred the patient to ED for CXR and possible diagnosis, treatment and management of suspected CAP. Patient reports having ‘fevers and ‘rigors over past 2-days. BACKGROUND. Mrs Riseman has been well until 3-days ago when she developed a productive cough. She has also had fevers. Over past 2-days she has been experiencing pleuritic chest pain, exacerbated by coughing, increased SOB mostly on exertion. Past medical history: Hypertension Type 11 DM Hypercholesterolemia Recent (6 weeks ago) #NOF sustained from mechanical fall at home requiring THR. As a result, has been less mobile or active due to fear of falling again. Normally lives independently with her husband but currently living with supportive daughter since discharge 2/52 ago from rehab. Her 12-year-old grandson recently had a chest infection requiring oral Abs CURRENT MEDICATION Metoprolol 25mg daily Aspirin 100mg daily Metformin 1g daily Atorvastatin 40mg nocte Paracetamol 1g QLD/PRN
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